How Orthopaedic Practices Can Avoid Clawbacks and Legal Action

Based on actual cases and judgements, we’ll walk you through the expensive mistakes allegedly made by orthopaedic practices in billing and coding. Many of the orthopaedic practices featured made expensive mistakes that could have been avoided.

Remember, “I didn’t know” isn’t a defensive and ultimately ignorance is expensive involving defensive attorneys and penalties. 

From work with orthopaedic practices across the country, Karen and the KZA team are frequently advising groups how to deal with an ever growing list of time consuming denials—many of which are easily with resolved with education. Soaring accounts receivable with close to 50% of what’s owed over 90 days old are another costly problem.

Sources of costly fines and paybacks include but are not limited to:

  • Abusive and incorrect use of modifiers 59, 25 and KX
  • Post Op visits scheduled just after the 90 day global
  • Upcoding
  • Ignoring Incident to supervision rules  

It’s 30 minutes. It’s complimentary. Listen in.  


Karen’s energetic and engaging presentation style has earned high ratings from the plastic surgery community for decades.   Her practical knowledge and specific recommendations have contributed to the growth and profitability of plastic surgery practices nationwide.   In this mask-challenged environment, Karen has new ideas and concepts to share that can make a positive impact on your bottom line.

30 minutes
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